Objectives: To compare the effectiveness of dual task therapy vs scalp acupuncture plus dual task therapy in non-motor symptoms of Parkinson's Disease (PD)
Design: A total of 28 patients With PD, Hoehn and Yahr Stage I, II and III; disease time between 2 and 13 years, were evaluated in On status. All patients ruled out cognitive impairment using the MOCA scale, received pharmacological treatment with carbidopa/levodopa (C/L), depression was evaluated with the Beck scale, other neurological and psychiatric diseases were ruled out. We selected 02 groups each of 14 patients: Group "A" received scalp acupuncture plus dual task therapy; while group "B" received dual task therapy only.
Results: In 80% of the patients of both groups in the consultation prior to the start of receiving therapy, the Beck scale was found in score in favor of mild, moderate and severe depression; antidepressant was initiated to those who found depression in a moderate and severe stage. At 4 months later; we found that patients in group "A" lowered the Beck scale score by reversing the stage of depression at lower stages. While those of group "B" also lowered the score; however the stadium did not reverse. It was also found that group "A" after 4 months remained at the same initial dose of C/L and 50% had the antidepressant removed; however, group "B" required a dose increase of C/L and 100% maintained the antidepressant.
Conclusions: Dual task therapy alone is not as effective as scalp acupuncture plus dual task therapy in improving non motor symptons of PD.
If scalp acupuncture therapy plus dual task was able to maintain the same dose of C/L, will it be able to delay the complications of using high doses of this drug?
Koni Mejia– Neurologist, Daniel Alcides Carrion National Hospital